SAN YSIDRO HEALTH ESCONDIDO FAMILY MEDICINE
NPI 1801438239
Clinic/Center - Federally Qualified Health Center (FQHC) in Escondido, CA

Active since October 17, 2019
704 E GRAND AVE, ESCONDIDO, CA 92025(619) 662-4100 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2021, Nov 6, 2019, Oct 17, 2019 (3 updates tracked since 2019).

About San Ysidro Health Escondido Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN YSIDRO HEALTH ESCONDIDO FAMILY MEDICINE (NPI 1801438239) is a healthcare organization registered as a federally qualified health center (fqhc) in Escondido, California and active in the NPI registry since October 2019. The organization lists Kevin Mattson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1801438239
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address704 E GRAND AVEEscondido, CA 92025-4405
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Organization SubpartNo
Authorized OfficialKevin MattsonPresident/ceo · (619) 662-4100
Enumeration DateOctober 17, 2019
Last NPPES UpdateNovember 19, 20213 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
NPI 1801438239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
704 E GRAND AVE, Escondido, CA 92025

Other Names 1

Doing Business AsSan Ysidro Health Escondido Family Medicine

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPI number?

The NPI number for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1801438239. It was assigned to this organization in the NPPES registry on October 17, 2019. The provider is doing business as San Ysidro Health Escondido Family Medicine.

Where is Centro De Salud De La Comunidad De San Ysidro, Inc. located?

Centro De Salud De La Comunidad De San Ysidro, Inc. is located at 704 E Grand Ave, Escondido, CA 92025. The listed phone number is (619) 662-4100.

What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Centro De Salud De La Comunidad De San Ysidro, Inc. was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.